Organization
VIRGINIA MED CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFAN IDREES MD (PRESIDENT)
(540) 338-0032
Entity
Organization
Contact information
Practice address
609 E MAIN ST, STE Q, PURCELLVILLE, VA 20132-3182
(540) 338-0032
(540) 338-0176
Mailing address
609 E MAIN ST, STE Q, PURCELLVILLE, VA 20132-3182
(540) 338-0032
(540) 338-0176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196545
ANTHEM BC
VA
01
—
7286
BC OF WASH DC
DC
01
—
DF5474
MEDICARE RAILROAD
—
Enumeration date
06/24/2006
Last updated
05/27/2008
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